| NPI | 1295447969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANELL ALYSE KING Administrator 612-462-6111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant |
| Additional Taxonomies | 253Z00000X In Home Supportive Care |
| 376J00000X Homemaker | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2022-12-14 |